Provider Demographics
NPI:1306446976
Name:PASSAGES HOSPICE CARE, INC.
Entity type:Organization
Organization Name:PASSAGES HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-324-9185
Mailing Address - Street 1:2345 ERRINGER RD STE 211
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2262
Mailing Address - Country:US
Mailing Address - Phone:805-865-5681
Mailing Address - Fax:818-344-2171
Practice Address - Street 1:2345 ERRINGER RD STE 211
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2262
Practice Address - Country:US
Practice Address - Phone:805-865-5681
Practice Address - Fax:818-344-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based